Rany Jazayerli, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036108686 Issued in IL

Practice address

2560 Foxfield Rd
Suite 100
Saint Charles, IL 60174-5797

Phone

(630) 443-8855

Fax

(630) 443-8866

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Michigan Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Suburban Dermatology and Cosmetic SurgeryGroup PAC ID 6204890460, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.08 of 100Reported as individual

Quality

68.17

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Suburban Dermatology & Cosmetic Surgery

  • Dermatology Physician
  • Saint Charles, IL
  • NPI 1477617207
  Medicare reassignment Care Compare group NPD
• Affiliates in Diseases & Surgery of the Skin, S.C.

  • Medical Specialty Clinic/Center
  • Oak Park, IL
  • NPI 1558579243
  NPD
• Renuka H Bhatt MDSC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1689743783
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1831197995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 FOXFIELD RD",
            "address_2": "SUITE 100",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601745797",
            "telephone_number": "630-443-8855",
            "fax_number": "630-443-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 FOXFIELD RD",
            "address_2": "SUITE 100",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601745797",
            "telephone_number": "630-443-8855",
            "fax_number": "630-443-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAZAYERLI",
        "first_name": "RANY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036108686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108686",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "04532208",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa C Jama, DO
• Mykenzie Sarah James, DPT
• Sophia Janicki, DPT
• Douglas V. Janis, D.D.S.
• Jay Sweis DDS PC
• Jeffrey D Postlewaite,Dosc
• Maegan Jenkins, PSY.D.
• Jennifer Leibforth Therapeutic Services, PLLC
• Jacquelyn Jennings, LCSW
• Victoria Kristine Jensen

• Dermatology Physician in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.